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03104aam a2200505 i 4500 001 B392A586239311E9A16D344A97128E48 003 SILO 005 20190129010118 008 171212s2018 enka b 001 0 eng 010 $a 2017059463 020 $a 1107539846 020 $a 9781107539846 020 $a 1107117208 020 $a 9781107117204 040 $a NLM $b eng $e rda $c NLM $d DLC $d NLM $d OCLCO $d OCLCQ $d YDX $d OCLCO $d ERASP $d COO $d TKN $d INU $d OCLCO $d BDX $d COD $d OCLCF $d OCL $d UKMGB $d OCLCO $d OCLCA $d SILO 042 $a pcc 043 $a n-us--- 050 00 $a RA418.3.U6 $b A64 2018 082 00 $a 362.10973 $2 23 100 1 $a Ameringer, Carl F., $e author. 245 10 $a US health policy and health care delivery : $b doctors, reformers, and entrepreneurs / $c Carl F. Ameringer. 264 1 $a Cambridge, United Kingdom ; $b Cambridge University Press, $c 2018. 300 $a xvi, 178 pages : $b illustration ; $c 23 cm 504 $a Includes bibliographical references (pages 123-172) and index. 520 $a "The unique composition and configuration of doctors and hospitals in the U.S. is leading to a crisis in primary care provision. There are significantly more specialists than generalists and many community hospitals and outpatient facilities are concentrated in affluent areas with high rates of comprehensive insurance coverage. These particular features present difficult challenges to policymakers seeking to increase access to care. Carl F. Ameringer shows why the road to universal healthcare is not built on universal finance alone. Policymakers in other countries successfully align finance with delivery to achieve better access, lower costs, and improved population health. This book explains how the U.S. healthcare system developed, and why efforts to expand insurance coverage in the absence of significant changes to delivery could make things worse"-- $c Provided by publisher. 505 0 $a Health policy and health care delivery -- The scientific practitioner, 1870-1918 -- Group medical practice and group insurance, 1919-1945 -- The hospital as community health center, 1946-1964 -- The turn to market competition, 1965-1995 -- The emergence of corporate health systems, 1996-2015. 650 0 $a Health services accessibility $z United States $x History. 650 0 $a Medical policy $z United States $x History. 650 12 $a Health Policy $x history. 650 22 $a Delivery of Health Care $x history. 650 22 $a History, 19th Century. 650 22 $a History, 20th Century. 650 22 $a History, 21st Century. 650 22 $a Universal Health Insurance $x history. 651 2 $a United States. 650 7 $a Medical policy. $2 fast $0 (OCoLC)fst01014505 650 7 $a Health services accessibility. $2 fast $0 (OCoLC)fst00953278 651 7 $a United States. $2 fast $0 (OCoLC)fst01204155 655 7 $a History. $2 fast $0 (OCoLC)fst01411628 776 08 $i ebook version : $z 9781108565394 941 $a 2 952 $l OZAX845 $d 20240525041642.0 952 $l UQAX771 $d 20190129010817.0 956 $a http://locator.silo.lib.ia.us/search.cgi?index_0=id&term_0=B392A586239311E9A16D344A97128E48 994 $a C0 $b JIDInitiate Another SILO Locator Search